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World J Hepatol. Dec 27, 2012; 4(12): 394-398
Published online Dec 27, 2012. doi: 10.4254/wjh.v4.i12.394
Published online Dec 27, 2012. doi: 10.4254/wjh.v4.i12.394
Acute abdomen and ascites as presenting features of autosomal dominant polycystic kidney disease
Sanjay Chaudhary, Qi Qian, Division of Nephrology and Hypertension, Department of Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, United States
Author contributions: Both authors contributed equally to this article.
Correspondence to: Qi Qian, MD, Associate Professor of Medicine and Physiology, Division of Nephrology and Hypertension, Department of Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, United States. qian.qi@mayo.edu
Telephone: +1-507-2667960 Fax: +1-507-2667891
Received: June 15, 2011
Revised: September 2, 2012
Accepted: November 17, 2012
Published online: December 27, 2012
Revised: September 2, 2012
Accepted: November 17, 2012
Published online: December 27, 2012
Abstract
We describe a patient with sudden onset of abdominal pain and ascites, leading to the diagnosis of autosomal dominant polycystic kidney disease (ADPKD). Her presentation was consistent with acute liver cyst rupture as the cause of her acute illness. A review of literature on polycystic liver disease in patients with ADPKD and current management strategies are presented. This case alerts physicians that ADPKD could occasionally present as an acute abdomen; cyst rupture related to ADPKD may be considered in the differential diagnoses of acute abdomen.
Keywords: Autosomal dominant polycystic kidney disease, Acute abdominal pain, Ascites, Polycystic liver disease